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KELLY A PETERSON
NPI 1255965208
Nurse Practitioner - Neonatal, Critical Care in Chicago, IL

Active since February 28, 2020
225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly A Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A PETERSON (NPI 1255965208) is an individual neonatal, critical care provider in Chicago, Illinois, licensed in Illinois (209.020968) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1255965208
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameKELLY A PETERSON
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address12516 S 71st CtPalos Heights, IL 60463-1550 · (708) 768-1694
Phone(312) 227-4000
Sole ProprietorYes
Enumeration DateFebruary 28, 2020
✔ NPI 1255965208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in IL · 209.020968
225 E CHICAGO AVE, Chicago, IL 60611
Open in Google Maps ↗

Other Identifiers 1

OtherEAD821145963IL · Health Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Peterson's NPI number?

The NPI number for Kelly Peterson is 1255965208. It was assigned to this individual provider in the NPPES registry on February 28, 2020.

Where is Kelly Peterson located?

Kelly Peterson practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (312) 227-4000.

What is Kelly Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Kelly Peterson was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.